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. 2006 Apr 19;2006(2):CD004200. doi: 10.1002/14651858.CD004200.pub4

Howell 2006.

Methods RCT by remote telephone system
Participants Biliary strictures due to unresectable malignancy occurring at least 2cm below the bifurcation
Interventions 6mm nitinol SEMS, OR 
 10mm nitinol SEMS, OR 
 10mm uncoated Wallstent
Outcomes Placement success, 
 Malpositioning, 
 Post‐placement complication, 
 Stent patency, 
 Number of ERCPs, 
 Mortality
Notes N=183
Abstract
Risk of bias
Bias Authors' judgement Support for judgement
Adequate sequence generation? Unclear risk Not described
Allocation concealment? Low risk Remote telephone
Blinding? 
 All outcomes High risk  
Incomplete outcome data addressed? 
 All outcomes High risk All follow‐up not reported
Free of selective reporting? High risk Not all outcomes reported in abstract
Free of other bias? Unclear risk Abstract only